Organization
PEOPLES RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY RENEE' PEOPLES (ADMINISTRATOR)
(803) 951-8591
Entity
Organization
Contact information
Practice address
120 ADDY LN, LEXINGTON, SC 29072-3405
(803) 951-8591
(803) 951-8591
Mailing address
120 ADDY LN, LEXINGTON, SC 29072-3405
(803) 951-8591
(803) 951-8591
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1494
SC
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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